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<br />~~ <br />¿, 'J {~~ <br />1\0 (,'y <br />Oll' 1;,·1 <br />/Q It· . I 1,- <br />1 U !)J,t <br />Cr <br /> <br />CITY OF ROSEVILLE <br />2660 CIVIC CENTER DRIVE <br />ROSEVILLE, MINNESOTA 55113 <br /> <br />Please check item or items for which you are applyin::J: <br /> <br />POD $750 <br />V RezOI1Ìn:J $300 <br />_ Special Use Permit $200 <br />Vacation of Right-of-Way $200 <br />== Preliminary am Final Plat $500 <br /> <br />_ Carprehensive Plan Amerrlment $750 <br />Division of Platted lot $100 <br />== Relocation of Dwellin::J $100 <br />_ Variance to Zonin:J Ordinance $200 <br />Shoreline Permit $ 50 <br /> <br />Please CXlDplete fonn by typin::J. or pri.nti.rq in ink. If the spaces provided are <br />insufficient, use additional sheets, keyin::J infonnation to the proper item rnnnbers: <br /> <br />1. <br /> <br />2. <br /> <br />3. <br /> <br />4. <br /> <br />5. <br /> <br />6~ <br /> <br />7. <br /> <br />8. <br /> <br />10. <br /> <br />DJI¡//L) #//c#/J'EZ heL Sð..v <br />Name of OWner: (First) (Middle) (Last) <br />/7/~ ~ ~Ø/¿Wr ~/r Æ~rý/~ ~A/, <br />Adðress of OWner: (No. am street) (City) (state) <br />(JAy'/j) d//CII/lEL ~~~St'J# <br />(Name of ApplicaÍ1t): (First) (Middle) (Last) <br />/7/t u/!Ap/¿/j/, 4;/£ ~S£V/.dE ~#, <br />(Addí:-ess of' Appl. ) : (No. am street) . (City) (state) <br /> <br />(;Y~33ð/ <br />(Rlone) <br /> <br />fJJ/~ <br />(Zip) <br />t; ý5=-3.5ðj <br />(Rlone) <br /> <br />J"ß//J <br />(Zip) <br /> <br />street Address of Property Involved: <br />Con'plete Legal Description of Property Involved: ,') ff"'C ¡Jrr-ðt?;-'¥£/J <br /> <br />Date Property Acquired: <br />Present Use of Property: ~ 4)k 9. Present Zonin:J of Property: IS ., ¥ <br />Proposed Use of Property: _ð!. _q.. Proposed Zoning of Property: ~'/i K~ <br /> <br />Present Corrprehensive Plan Designation: <br />Proposed Corrprehensive Plan Designation: <br /> <br />t~ <br /> <br />11. What plan or change makes this request necessary? <br /> <br />12. What is the expected effect of the proposed change? (For example, on property <br />values, health, safety, parking, traffic corxtitions, etc.) <br /> <br />~,~. <br />